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• Development Services Depart '--""°,l . : 4+t.5 r.. :, '}' L,' PERMIT/PLAN REVIEW APIILICATION ...c.,,-.... 1%. Development Services Department,240 West Huntington Drive,Post Office Box 60021 Q.°"t`° Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS' COMPENSATION DECLARATION Ai hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9, commencing with Section 7000, of Division 3 of the Business and Professions Code, d my license is in full fo /�c ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class License No. 7 Eicp.Date r3po0 compensation, as provided for by Section 3700 of the Labor Code, for the �y� performance of the work for which this permit is issued. Signature of Contractor g i OWNER—BUILDER DECLARATION ID have and will maintain workers' compensation insurance,as required by Section 3700 of the Labor Code,for the performance of the work for which this permit is ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors issued. My workers'compensation insurance carrier and policy number are: License Law for the following reason(Section 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, Carrier demolish,or repair any structure,prior to its issuance,also requires the applicant Policy Number for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less.) 7000)of Division 3 of the Business and Professions Code) or that he or she is 441 certify that in the performance of the work for which this permit is issued,I shall exempt there from and the basis for the alleged exemption. Any violation of not employ any person in any manner so as to become subject to the workers' Section 7031.5 by any applicant for a permit subjects the applicant to a civil compensation laws of California,and agree that if I should become subject to the penalty of not more than five hundred dollars($500)): workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �y,� ❑ I, as owner of the property, and my employees with wages as their sole ` �6/ C�� compensation,will do the work,and the structure is not intended or offered for Date f"h- ApplicanC%%�I,�C sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon, or who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for WARNING: Failure to secure workers'compensation coverage is unlawful, sale. If,however,the building or improvement is sold within one(I)year of and shall subject an employer to criminal penalities and civil fines up to one completion,the owner—builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest,and attorneys fees. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Section 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency contractor(s)licensed pursuant to the Contractors License Law). g g il for the performance of the work for which this permit is issued(Section 3097,Civil Code). ❑ I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date Owner Lender's Address IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required. A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings and structures. 3. Per South Coast Air Quality Management District (AQMD) regulations, renovation and remodeling work that results in the removal, stripping, or altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos. Please contact AQMD at(909)396- 2000 for further information. , Name k 6 iii Title glij PRINT NAME I certify that I have read this application and state that the above information is correct and that I am the owner or the duly authorized agent of the owner. I agree to comply with al _'ty o . a es and State laws relating to building construction. I hereby authorize representatives of the City of Arcadia to • o he abov • ti i ed , 'I perty for inspection purposes. Signature / /L/// AtA //g Date 001ft. Amok (. --_A.--_S-B_'-7:: A.- ° ^0 0 0 o o:%��•o°o �o o o o o.-^ :Z:3-'.;�'.._� o°o°o�o o�.0°00 o r_.�,00000°. 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Setbacks 5.2 .03 r� . Under fir./bldg.drain -Or�fj r /1/6 - /, „ - p X01. Rough grade 211. Copper underslab 'j•2/. . 102. Figs.&forms 5-24-D3 ', 212. Rough plumbing ,0• 3 103. Pre-slab 9-°2/•0) p 213. Roush gas is LI�.ilr 5a Y 5 ill AI.e ' 104. Floor joists 214. Shower pan oil" eNer. 105. Steel 215. Water heater 106. Grout lift 216. Roof drains 5b)(5 6715///4011› C6 107. Shear nailing . 217. Building sewer "� • r i 218. Water service N E?.(c� le o7v ( �� 108. Dinh nailin• �r � �� � �f 109. Roof nailing "/.p3 , 219. Final gas S b 54th Qcs/( '3 2//D7 b < 110. Framing a•Z-p� 220. Fixtures D /� 111. 0cc./Area Sep.Wall 221. Final plumbing '1312p!, 112. Sound walls 222. Sewer cao/demo. 113. T-bar•rid 114. Insulation-flr. •Pool Inspections Date I Insp. 115. Insulation-Wal ' * , 240. Excavation/steel / 5 4.R/' 6ic h 4,/-14 116. Insulation-CeiiC 241. Rough plumbing --//-1 117. Drywall nailing ere-OS 242. Light shell/bonding �� / 118. Interior lath 243. Underground conduit �y �� 119. Exterior lath 3rj'c 'Z 244. P-trap 7V� 120. Finish grade 245. Gas line&test 121. Final building - -s, 246. Fence,sates&Suns 0 -2-D3 / .p/[` -L L /ij ■ A •A 122. Final demo/lot clear 1 247. Pool heater ���/ , 248. Final electric l v Electrical Inspections • Date. Insp. 249. Final Plumbing f`_' /,I 150. Power pcle 1 j 250. Pool cover 151. Sales lot lighting 251. Pool final , '�/C. • - � jC? 152. Underground conduit (�‘‘.4 / .4 S 1 0 153. Underslab conduit Reroof Inspections Date Insp. 154. UFER wound •Avg 03 r 270. Pre-reroof insp. ream -155. Water ground 271. Roof framins MIMI - I ii 156. Rough electrical ,(!• "0 1/i'11MIj ! ���� u . 157. Fixtures 273. Final reroof I�-7-03 '1v rGi d1 158. G.F.C.I. i `."G'' , t, ` • T i,.1. i. .- d. if' 159. Eqpt.bonding . Sign:Inspections I Date Insp. jg I A , ./, 160. Service panel 280. Setback/overhang 161. Final electric 281. Footing A - P av alks 282. Conduit/wirins if /�G/ # . - •i Mechanical Inspections I Date Insp. 283. Disconnect • ` ` ��I 180. Venting/flue 234. Final sign 181. Furnace/A.C. i inaniffmra.19, 10,M,50 A, P ` !, 182. Rouch HVAC p + Miscellaneous Insp. Date Insp. 183. Fire dampers MIN 290. Fire alarm 184. Furnace compartment 291. Underground suppl ��' 185. Combustion air 292. Fire sprinklers G00¢1,1 C/ - 741- "F 186. Smoke detectors Z15174,-„ ---\ 293. Monitor system 187. Metal F.P.rough /G•?b 3 294. Hood dry them. n��%�!a< \ ��j !n I( 188. Compressor setback 295. Final !�J 0; 189. Commercial hood I ' 190. Duct shaft Sewers&Offsite Insp. Date Insp. 191. Final mechanical ' •/ Vie,/1 300. Lateral(main to P/L) 301. Saddle/Y Block Wall Inspections Date Insp. 302. Cesspool filled 200. Footings 1 303. Sidewalk 201. Steel/rebar 304. Driveway 202. Grout lift 305. Curb replacement 203. Final wall 306. Trash bin NO OPERATION OPERATION • NOTES 1 e I oZ 9A Building Inspections Date Insp. mbing Inspections I Date I Insp. 100. Setbacks -- 210. Under fir/bldg.drain , a ,d ' 4/1 ■ P MI 101. Rough grade 211. Copper underslab i 102. Figs.&forms 212. Rough plumbing 103. Pre-slab 213. Rough gas 104. Floor joists 214. Shower pan - 105. Steel 215. Water heater 106. Grout lift 216. Roof drains 107. Shear nailing 217. Building sewer 108. Diaph nailing 218. Water service 109. Roof nailing ' 219. Final gas 110. Framing 220. Fixtures 111. Occ./Area Sep.Wall 221. Final plumbing 112. Sound walls 222. Sewer cap/demo. 113. T-bar grid 114. Insulation-fir. - Pool Inspections Date I Insp. 115. Insulation-Wall - 240. Excavation/steel zi► d /_ °( L/ % Ii 116. Insulation-Ceil. 241. Rough .lumbin• '�V/���.�a� �, // 117. D all nailing 1111- 242. Light shell/bonding �7I��' ILL t .4 118. Interior lath 243. Underground conduit r 119. Exterior lath 244. P-tram -/' ■ a,�/_ ; / 120. Finish mrade 245. Gas line&test �►i�g7./ k i 121. Final building 246. Fence,•ate :,r�aG_ i���n�.. ` ��J -es 122. Final demo/lot clear 247. Pool heater /I_� 248. Final electric Mil Electrical Inspections Date I Insp. 249. Final Plumbing 1111-4 11111 `I. ,, 150. Power pole 250. Pool cover •i 151. Sales lot lighting 251. Pool final 'lea t 152. Underground conduit 153. Underslab conduit Reroof Inspections Date I Insp. 154. UFER ground 270. Pre-reroof insp. 155. Water ground 271. Roof framing 156. Rough electrical 272. Sheathing nailing 157. Fixtures 273. Final reroof 158. G.F.C.I. 159. Eqpt.bonding Sign Inspections Date 1 Insp. 160. Service panel 280. Setback/overhang 161. Final electric 281. Footing 282. Conduit/wiring Mechanical Inspections I Date Insp. 283. Disconnect _- 180. Venting/flue 284. Final sign �- 181. Furnace/A.C. 182. Rouch HVAC -- Miscellaneous Insp. Date Insp. 183. Fire dampers 290. Fire alarm 184. Fumace compartment 291. Underground supply 185. Combustion air 292. Fire sprinklers 186. Smoke detectors 293. Monitor system 187. Metal F.P.rough 294. Hood dry chem. 188. Compressor setback 295. Final 189. Commercial hood 190. Duct shaft Sewers&Offsite Insp. Date I Insp. 191. Final mechanical 300. Lateral(main to P/L) 301. Saddle/Y -- Block Wall Inspections Date Insp. 302. Cess•ool filled 200. Footings 303. Sidewalk 201. SteeVrebar 304. Driveway 202. Grout lift -1-tif!j � 305. Curb replacement ° 203. Final wall 306. Trash bin egN • , , • 1 - 1 :13 co 0 6 ■ U), . ....' rri '.7.4., (., . "T3' (3 L . , \ . .b, . > rp m(0 , 723 rn in •\ 1"011%. () a (c) (,-...„ )> (3.: 0 „I• ii) ,...,, 3 :7 la 3 --T2 -0 ---1 0 =.7) ..c) > -, 0 0 ---I 8 ---i-- (n co w 3 °, ••5 ,,. _ :_r_ . g: cis. 0 _. -0 ■ ■ (..• ,---P 7- 0 g. R CO .1••• IF ,. '1,4 _ -..t) .,) =11 0 G 0 0 5. • ,,,c..p 2 t N If/ 7" Na ,. Z 0 -,5 z■-• C C Z •E' "."- ...... Ch ■ 0 I 7 Q.„.. (--• 4.,.__., .... xi z. ____I (,) (.) a 0 .. (.',-' \ 7, o . 0 su . -, c co a -1- i o ..-N ..a (D R Ul .--f--. .VINE GE`OTECHNICA N L NOTICE OF FIELD OBSERVATION CLIENT: /11 ,A j UIPr,� t�[)v/c DATE: 45/o(.0 TIME: / U IC: LOCATION: /�� fe REQUESTED BY: a-%,1 MET WITH: O a (Title) (Title) SPECIAL CONDITIONS: 6 (Weather, Job Shutdown, Advice Ignored, Safety) WE HAVE OBSERVED THE: J / fey/60'1 APPROVED PER THE PLANS CALL AGENCY INSPECTOR ❑ DISAPPROVED IV‘BELOW SKETCH OF FIELD CONDITIONS: NOTES & CONDITIONS:,,,, „e„a, ,vo, .e/ A }} ri S )l4G7,c/4. eilfir f' f/‹0 5 ,/// S4/7/ /2/4'/ LS/ S c., . �i" (3/ s'L- 6i✓ ic."—'--- j 1(=eq.#)(d)/lie,/� 17 /15 ' -e'o° r: c.cr-le. i _ r 1( 1, (/' c // 7 / //e'Ci e / 1 I____ - - ---- - _ - ADDITIONAL SITE VISIT(S): ❑ REQUIRED OT RE ED ❑ POSSIBLY RE REPRESENTATIVE OF IRVINE GEOTECHNICAL: REQUIRED HOURS: „2,--(2 Hour Minimum Charge) NOTICE L , WI H: 145 N. Sierra Madre Blvd, Suite 12 • Pasadena • California • 91107 • Phone 626-844-6641/Fax 626-604-0394 r { FILE NO. "i/r.reeq' iti DATE FILED -s/,//d6 APPLICATION FOR HOMEOWNER ASSOCIATION j ARCHITECTURAL DESIGN REVIEW (SHORT REVIEW PROCEDURE) A. PROJECT ADDRESS 1 /09 '11q Ie Vii a n n @-• f -ead t 91 9 ioo, J k B. PROPERTY OWNER H1 (h(1'e1 7 and Cc-1;44'W_ I3R.�•l-ee.I Han nc ADDRE S (IF DIFFERENT) 11 TELEPHONE NUMBER (k a6) 3 56. 5 26 6) Cad) 6 2i- • 01 2 6 (Celt- "-Hua) C. APPLICANT (IF OTHER THAN OWNER) ADDRESS TELEPHONE NUMBER D. DESCRIPTION OF PROJECT (check applicable) [ 3 ENCLOSED ADDITION TO MAIN DWELLING SQUARE FOOTAGE TO BE ADDED [ 3 UNENCLOSED ADDITION SQUARE FOOTAGE OF ADDITON [ 3 ROOFING SPECIFY MATERIALS M EXTERIOR ALTERATIONS (describe below) [4 EXTERIOR WALLS OR FENCES (describe below) [ ] OTHER (describe below). • ?ovf and (ayitt e_apIti9 _ - tA)( y- • Iron rencx on - A 5t tits la en,u.,„ rocs( enelose j h'e{- �bon s 1.- o n ;-I-e. -6 £q1 wM,e__ OctK rf ec � roofs tto - h u.rrnt(a d.rtmceftta,t, ti atd t'eukd as Keui NUE 4/4/. ...... } RANCHO SANTA ANITA PROPERTY OWNERS ASS 0 CIATION ` >; - ��DATE WE, THE UNDERSIGNED (SIGNATURES) OWNERS OF ADJACENT PROPERTY, CERTIFY THAT WE HAVE READ THE FOREGOING APPLICATION, AND HAVE SEEN THE PROPOSED PLANS, AND HEREBY GRANT OUR CONSENT TO THE PROPOSED PROJECT. # ON MAP SIG '.TU'E OF OWNER ADDRESS • .t 2. _mine 11W- L2e-"6 .‘ 4, 5. 7s ( cor7 Dr 6. 7. ADJACENT PROPERTY OWNERS SHALL BE CONSIDERED TO BE ALL PROPERTIES WHOSE BOUNDARIES ARE, IN WHOLE OR IN PART, CO-TERMINUS WITH THE SUBJECT PROPERTY: EXAMPLE: 2 3 4 l ti 001 of 3 1 SUBJECT 5 PROPERTY STREET ..... ......... AOa - l 1 10 Z CITY OF LIB rr �e�1 11�-0� . . . _ ... 240 WEST HUNTINGTON Di2IVE v ti.+ \ �..Jl ►is BUILDING SE1 V 1 'ES :4RCADIA,L A 91/07 (G26)57'V 11 G "OWNLrR-131111.DT,•R DECLARATION., Application is hereby made to the Building Official fora permit subject to the mndltions I hafreby auu,n under penalty of periury that.I stn exempt from the Contractor's Liednee Laq for and restrictions set forth on this application. the fallowing re:r;on (Sec. 70315 Business and Paofesawns Code: Any city or county which --..-_---.--- ----•.----------.--_------------.--------•"'------ requires n permit to construct, alter, improve, demolish. or repair any structure. prior to t: Workers'Compensation Declaration issuance,also requires thn applicant ter such permit to file a signed statement that he or sits is I hcrcby affirm under penally of perjury ere of the following: (check appropriate line) licensed pursuant to the provisions Qt.-the Contractor's Lieensc Lmv(Chapter 9(commencing with _r have and will maintain a certificate of consent to self insure for worker3 compensation, Section 7000)of Division 3 of the Bm um oss and Professions Code or that he or sho is exempt as provided for by Section 3700 of the Labor Code,for the performance of;hc work for which therefrom and the basis for the alleged exemption_ Any violation of Section 7031.5 by any this ctmit is issued. applicant fora permit subjects the applicant to civil penalty of not moro than five hundred clotars I have and will maintain workers'compensation insurance.as required by Section 3700 of 5500.00): the Labor Code,for the performance cite work for which this permit is issued. M'workers' ootllpcnsari011 lnaurunGC carrier—and posies numbers arc Q I.as owner ter of the prop'.or na'emp,oyooe with wages Ss their Cole compcn:a-ion,will do \ 14905'0? lire work And thn structure is not intended or offered fOr nate(Sec.70d4 Business and Professions Carrier . 0� Policyd —02 Code:The Contractor's License Law dent:not apptty to an owner of ptuperty who buiidr; or Improves thereon,or who does such work himself or herself or through his or her own employees, CERTIFICATE OF EXEMPTION FROM WORI,1tiR5' provided that such improvements are not intended or offered for sale. I.C.however,the building or COMPENSATION TNSt RANCE improvement is sold within one year of onmpletion,the owner-builder will have the burden of proving that he or she did not build or improve for the purpose of sale), I certify that in the performance of the work for which this permit is issued.I shall not employ ❑ I.as owner of Me property,stn exclusivcly.coanbcting with lionised cono-eeturs to construct any person in any manner eo as to become subject to workers cornpecesaon Laws of California. the project(Sec.7044 Business and Professions Code:Tho Contractor's License Law does not and agree that if I should become subject to the workers' compensation provision,of Section apply to an owner of property who builds or improves thereon, and who contracts for ssch 3700 of the Labor Code,Lethal(forthwith comply with those provisions. projects with a contract(s)licensed pur.,u;int to the Contractors License Low). 0 T pm exempt under Section_ ,B.&P.C.for Applicant:_ .. WARNING: Failure to secure workers competcwt,on insurance is unlawful and shall subject an YG73o6:__ - --- — employer to criminal penalties and civil lines of up to one hundred thousand dollars(5100,000), OwLR, in Addition to the cost of compensation,damages as provided for in rho Labor Code,interest and — AA"I'L':__ — attornc y f-ces. LICENSED CONTRACTOR'$DECLARATION TION .W T certify that I have read his application sad ionic that the above infatuation is correct and : I hereby unbar under penalty of pet3uty that I am licensed under provisions of Chapter 9 (commencing with Section 7000)of Division 3 M the Business and Professions Code,and my am the owner or e duly etcher z d agent of the euth Myna.I agree e comply with all city and t e laws relating to building conatruotion and hereby authors- representatives of the City of Arce license is in full force and aafteet, to enter u an thy, rave-mentinccd prop ty for inspec Purposes, License Number � o S3 License Class (1-A l0 - ��— I/, -� ,0� - f'• Expir iaen Dote of Contractor'p License—,_ ' 1.3)P1)9 4 I• : re o"ow •,pngent or contractor ,it c t�.t., LL.G ELECTRICAL PERMIT nl'1i'4Lr1� a'rp.•i i3 IUill:;,, 33.,, .,7.n.,.ry3,i`y:,ll:!;-cmi!::::..tlii,e .ilr,nt., ••::rr,,,n:nu ,, .... .;suns 46 ,.,,.a., in .,.,...,,., ...„q.,,. ,1;'1'•r 1 Ili.'FQ 3 ':11''i3,. � .. �i �' e. c ,• ., ..,\..❑'dtgt>fHSu '•" :nri`u tf.,,' :•>13�31 r :,,,• •::: 108;44.;1 lI 1'0 1 Ci t y y\+ l !'{ (�li';l:l CAL Ei-cv o V k!k i 1 ,t3!,1> d.'l ti 3,,y 3. ,, y '3; .313* '�;'•1•u,+- I,,. .... • 3.,f ',mi,1 ),.:!, '' ,.0 ii 11!'i,;�,'113' 1:',,`1'43+'! ''.13.,1;it 'l .,;i�i,, nr 13° ,,.,1i,3'fi::: if3t,1 C 33Y.ii air's;;:;; }. 3(3,,:1!Iy, Berner Electric, Inc. 1 il: r li .,3 " ,ll+r +1,.11i� 3601 try— --00:.i ' �•: 3 .,r. ,siM14 ::: 1. ;�3;!i-,:li, 33+:�:::,. .. Y Y�'1 rY ' a'-1�I 7a5 ,a:.�, �..�i'...d,.VI! 255 Citation Circle 43'3,.1;,1;', (l ,. ,.:i33 :, n,c 3'i.,' it'! 3ii'3i!,."u•a•,,.I.. . ..-. _.. +>:'�b ,I iC�tt��'yy i ' 411 I , > . .,. ._.. ......._....--.. iy tp.u.;.ra: ,:•;.!.,A,,,:'.,:+,•,:,;f!-!3 3`•.,1,•,.:,,,l 4,? .l ll3ii`+:i' rill i f•.�...ii 33 3!- ii ',t il'3,!3 :;;;,? 3',' t-d,. h.,fl ,3 la's r,i331;. , 311, f y;�'q ._7E'1 ,1 .,. t,:,, Corona CA 92880-2523 3l:+. l,, n:>d i. �;'>.;,3 it 3 .,1 a Il.i...� , h 1 Z( ���3i1�rf'i' � ,;1`,•.:•u:.�;,,,, ,i3i�)i ,.3;;:{ ,!.� �ifi li'°: t;l'�,'v l i!'t3 r _. ...,. ... ... Al*— 1+!1'1 I':;n,l1:1,,.J'q::•••t i 13;:3J-0-5 i,:,,t:, ,,..ial?i� .,'n3f,,.i a:b!;,•'1;.,,.,. -,..:;.1, '3) ,, if,..,y.•;,,.lt>):i ,.,.>(1.!I ,:,'i!!ii IIi�iris t p� ;s .. .. ii,l.11l'i:,:,I;:.,+i,:,at;' lil'd';3' ,;,:,::.�:f1 131lt1„,'�11 3' 1-!l is"',i' G! 4)., Description 1,.,•• -l3 j �l� . �...;�>:;I���z:.I;3�l,i 3 ! �?i,ii,>j3• � 3l 1�"�I:�t,,.. . . :,�'• P Fee, No. Am t. �1 3 3°r:h: 173°, !1t :a?e,:, l l' ',. i,l' 3 t. , ,n•ri i 113:1�1,,;�;,.�i1 � >,l 'i a�i;,i 1• , i ,t,ii� i;lj;i„.:���,e;liii;��f;,� ,1)�ri.l,lli, � �.>f:, �� �> i�1P.. ,''`a ;ti,3..,. 33.l+ it. i+ul 3: Description . No. Amt. Power Schedule for Equipment Rated in FP,KVA, KW or KVAR 1-20 receptacle,switch or lighting outlets 1.40 ea. Over 0,not over 1. each 6.90 Each additional switch,receptacle or outlet 0.90 Over 1,not over 10,each 14.10 1-20 lighting fixtures or lamp devices 1,40 ca. Over 10,not over 50,each 35,35 Each additional lighting fixture or lamp IMEIOIIIIMIIMIE Over 50,not over 100.each 70.55 • New residential constriction 0.05 psf" Over 100,each 113.00 NM New assessory structure w/new dwelling 0.04 psf* 3 Jki 400 amp or less residential service 14.10 M Residential appliances not exceeding I HP 5.65 ea. 200 amp or less commercial service 14.10 220 or 240 volt receptacles 5.65 ea. 201 amp to 1000 amp commercial service 56.35 ~ Swimming pool and/or spa Over 1000 amp commercial service 141.35 Branch circuit for one sign 56.35 Each additional meter 14.10 ?or each additional sign branch circuit 5.65 Distribution panel_each 14.10 I Jt'.o I 0 vliscellaneous Temporary power pole w/service panel 28.25 all Description of Work; Each additional power pole w/panel 14.10 Solid Waste Management(SW1l+1F)and 41.25 Processing fee ,, Total fee,including Processing and SWlvff /,T '' a Price per square foot 11;13-01 .09:07am From-CDD 6264479173 - T-617 P.01/01 F-897 '%-...itry u►rii-u auto • = * , j;.' .240WescYunt9ngtonOtie •E��CTRICAL - MECHANICAL -.PLUMBING �•,'Arcadia;CA 91006-6021 PERMIT WORKSHEET , • C1� 626)'574,5416 • „ •.f . . .' ,\o 6‘, "p-�;1'1C,1't-NA ' , •BUILDING ADDRESS . - 0 ? „' OF WORK. . ELECTRICAL � �----- DESCRIPTJON .. • t r r •--) .,VALUATION , �J`'� TYPE OF CONSTRUCTION NEW SQUARti'FEET - i • - : ARCADIA OAKS .LLC , PHONE,", 949 7 :=9. �3 OWNER NAME'" , 2000 NEWP01t2T ';',.1.3. ;REGAH . ZIP 9266 3501 JAMBOREE 'ROAD,' /SUITE city STATE CA ■ ADDRESS g9 73" 3171 BERNER ELECTRIC,' INC., ?HONE . r APPLICANT.NAME� .- - ,. .• � ,. . • . . CORONA• sT;dTe CAS� ' �zia 9.2$-8.0 ,t;.; AD_,:',...,DRESS .; .55 -CITATION CIRCLE'' CITY ;' ;•', ' ' CAL METRO BUILDERS INC.. PHONE,.,. CONTRACTOR::.. ----._.,-. - - CA 26 6 i� 3,S, 1 . JAMEOREE ROAD,.-, $UITE• •1000 CG)INEWPORP BEACH ...STATE ZZPl� O ADDRESS':•.--4.-1.---: ; -�`e. � ' 4.8 5'822 CLASS C 1 0. EXPIRATION DATE 10 3 1 1 O 'CITY LICENSE-140. ,. ti-ce!JSE NO, LICENSE STATE .,�. ,..r,a ,:" ' 1 c•,L'U 'BIN.a,$YbSTE , f :1,1. # #of.Unit& Descrlptaon . #of Units Qesciiptton (Addhlons,Commerdal,■ndusufaI) L r Te o va ry P a we r,-.. P;.ole .. #of Paels:: ........7......,,_.;_•___:.. tu ti > .. . 1 I Services .. :: , Sze .4 Q.P. AMP. .... � ,_ ..,:.:..L:.,,....,......:........:;.,,.... . ...._'Outlets(Receptacles Switches) :. ..._ • - , Water Closets' -• ry -:.Fiktures l .. r --• . .•--'- • - ._...., w .... Lavatories Mo tors P ESC1: -. ._.._ _. - :� - Bidet• :« } Subpanel: 2 O 0 AMP , Siie: Kltchah ''�• yn,.. . Sign Branch Giro: ,, . . , ._ .. . . : :.- ... �. . a... . . ... 1):1 hwashers ,1...; .,Pool Wlrinq - i: •- -` p s Deals . Mlsoellaneous • :G�rbage I p•Sq,Ft:Artie:N6w Ras:•Bldg Sq,Ft;Area• New Res.. • Floor Sink _ Floor Drain Of F to-. . '. . at'.rndry:Trays ' ' #,of Units -:•=D'earlpt .._.__..___ . •, _ Ipn cludln '100:000 BTU •thg's Washer 4' • :" "FAU'tb and in 9 ...... G b ' FAU•over.100,000 tTU '.. - Grease Trap' ._ ... _.. ,....- ' • -• • ° "Floor!Wall/SUSPHeater F ^ ' -,_ b i 7. ,, _ -'U . Ga's Sy3tems-#outlets' : +� ' ; ••. , e-Fa Flre lace . -:� _ .r -• . _.. _ , y,. ,7;�..:,i; • Kit oten Exhausiyood " . Shower Pan RQplacement' :'• .. _ -•-• - -� etila tlon Fa .Including duct(CON and IND only) sw1 rt A P ; , Boller/Compressor.to and including 3HP ' ......._.. . ...._. a .... .,..•Poo(Wat r Heater , �•`•to 1.5HP _,.._. c' • ° ' holler/Com ressor over 3HP ,. .V�Fater'Hea s, '' Boller./Compressor over t6HP'to.30HP --•r.•- nip®ctlons. •• or over'30HP to 50H • •- .. .. Com ess - ,....• • Boiler/ .Compressor over:5OHP to 1,75HP: . Lawn;Sprinkler•Syst®m 5.7,-.;,,• ,'Air;hfandler to and.includlnr .10,000'C M•• .•Miscellaneous 'I " Alr-Handler over 1QL000 CFM ... ._._._._. _ ..-.._ -• ... 6 fe/Add Registers or Ducts...... ' .... :. : :1-i' ;. Evaporative Cooler, -- Miscellaneous .. . #800 3 1/N 3;'/A e51-4i--6-5 Z0 -t- / c1� pGm� 76 5� 3 i- mam Date and A TION/ — iInitials / \,, .&\c.,c ,' ,�■° e0 • See of �` � Q� Note oc`q \ coc Ile c /��. C. t__ in Shecctt.Plainine A.R.A. 1......_ ---—7-- gg 0111 ammal ■PWS-Wi 111111.1111111111111 PWS-NPD -S S11.11.11■111r�� .. . 11.11111111111111 MINIMMIMINIMME110111.111111 l�� i r_6,,"_==--. — _� •,. �J�"� ,.• a I �e, 1( . , ,,, - • .j/(r/----4.— t i :1 \ jjL1 •� 1 ci • P. if N ®fie f�A�... 667, .,: - . P.. .71 s , A : .... .. .. . ......56,. ..„....,___,„, . .5, ... , „:„.„,. . A .1°/—: :"JN %\ . ... .. ' 14.IZ 1 • ',.‘4 I i. 414N \N. pf2. 6,',1 ir .44.. ....11...N4re-_,r.e);' *. V 6'• .•n , ot. ;1111pPP 'I. t‘ .,fr. .. . - 7 -. ti. ` VP • X668 '.� �''° • �• N. - � 666-1 — �/ A . ..... - - qq. • Al)• DA /i4 e5/;41-67-5 Z o t / 0 pl_41_, 7- 5 p1.1)Q.5L 3 ,1/ e2 , Ls e. CO 1./it ROUTING r Date ACTION and Initials �� �,``,,t' ��o''e�* *See of !t° °\,L'N 'Q ,cc' c;., Notes Ch •ker P C P, C` ` on Sheet#. 1 V70 Plannin `� - A.R.A. Ent'. Buildine,_ • Fire IN PWS-Wat • t' S-NlfDE • leam;inioneimi .- b 770 - . �. r.• . � .iik i #t 163 I t. `4 J ! 1 � a (1 • 4 Its ; -' t'..- 4144\1/4%.‘.........-%. s..........., i zr..—.•—• ti II \ _ I II L �OOQ25 v8J • r A. AP - tP '60 • ., 6.61.--;--3' • ........i.......1 • Ile.. 4. • 1 . :pp. 'Y*. f. .fr / 7 • .-, it4 47 ,P4°: I' 24.1.-1 . ob. i ,,- jpoes 1 . .. ' . • • 1 $ I' .1 - , a_ , , - 66 � _ i�°o 666_'1• 4 ' / - r Zglrie 0 1 047 ilZ44kI 11 . . v : V ) 1 ' ' / 14 99 4 VEST HUNTINGTON DRIVE TY OF A R V A i BUILDING SERVICES LRCADL9,CA 91 007 (626)574-5416 V 4 "•OWNER-WI ILDERDECLARAT ION'" pplieation is hereby made to the Building.Official fora permit subject to the conditions I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for ad restrictions set forth on this application. the following reason(Sec.7031.5 Business and Professions Code: Any city or county which ------ ----------- �--- requites a pemtit to construct, alter, improve, demolish, or repair any structure, prior to its corkers'Compensation Declaration — issuance,also requires the applicant for such permit to file a signed statement that he or she is hereby affirm under penalty of perjury one of the following: (check appropriate line) licensed pursuant to the provisions of the Contractor's License Law(Chapter 9(commencing with I have and will maintain a certificate of consent to self insure for workers'compensation, Section 7000)OF Division 3 of the Business and Professions Code or that he or she is exempt s pro ed for by Section 3700 of the Labor Code,for the performance of the work for which therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any us t is issued. applicant for a permit subjects the applicant to civil penalty of not more than five hundred dollars I have and will maintain workers'compensation insurance,as required by Section 3700 of ($500.00): le Labor Code,for the performance of the work for which this permit is issued. My workers' ❑ I,as`owner of the property, ompensation insuranc carrier and oli numb are: p perty,or my employees with wages as their sole compensation,will do fP ' the work and the structure is not intended or offered for sale(Sec.7044 Business and Professions :airier LI 1 V 1 lien# L 7i 1 L{I—t 2i � Code:The Contractor's License Law does not apply to an owner of property who builds or improves thereon,or who does such work himself or herself or through his or her own employees, L& L provided that such improvements are not intended or offered for sale. If,however,the building or CERT ATE OF EXEMPTION FROM WORhTRS' improvement is sold within one year of completion,the owner-builder will have the burden of COMPENSATION INSURANCE proving that he or she did not build or improve for the purpose of sale). certify that in the performance of the work for which this permit is issued,I shall not employ ❑ I,as owner of the property,am exclusively contracting with licensed contractors to construct ny person in any manner so as to become subject to workers compensation Laws of California, the project(Sec.7044 Business and Professions Code:The Contractor's License Law does not std agree that if I should become subject to the workers'compensation provisions of Section apply to an owner of property who builds or improves thereon, and who contracts for such 1700 of the Labor Code,I shall forthwith comply with those provisions. projects with a cgntract(s)licensed pursuant to the Contractor's License Law). ❑ I am exempt under Section ,B.&P.C.for this 1pplicant: • WARNING: Failure to secure workers compensation insurance is unlawful and shall subject an reason: :mployer to criminal penalties and civil fines of up to one hundred thousand dollars($100,000), OWNER: n addition to the cost of compensation,damages as provided for in the Labor Code,interest and DATE: inomey fees. LICENSED CONTRACTOR'S DECLARATION — I certify that I have read this application and state that the above information is correct and that I i hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 am the owner or a duly authorized agent of the owner,I agree to comply with all city and state 'commencing with Section 7000)of Division 3 of the Business and Professions Code,and my p y n icense is in full force and effect. laws relating to building construction and hereby authorize representatives of the City of Arcadia / to enter upon the above-mentioned property for inspection purposes. :icense Number 52 410 / Licens lass _ _ Expiration Data of Contractor's License �5/ Signature of owner,owner's agent or contractor Date MECHANICAL PERMIT Building ez ' Contractor ^ ra # / .:1'a ,t 1. fit �i D 4„ Aq iic&lIt ;' 3 y i3 9,'1�y 3 y `.. ' s£::- y yr '£} £y£i i y. } s y£f y t dreS$ it _ -- i >a t ii a a , ai }j�}£�i jet } 3 �!i!:y i ., r r s 3 iii l d i } � � i tl ,. , y ',p i y. t - £} i i 1 _ CI State ..,'° ,,,tg, .s i r i!i# � � 1� s•C ulbel Stat4 .. ,.tlr..... Qne nmbe; Description Fee No. Amt. Description Fee No. Amt. Installation or relocation of compressor or 17.00 } �,,{�-� boiler to&including 3 HP or 100,000 BTU ( L�'C/. Installation or relocation of each forced air 17.00 ,r Installation or relocation of compressor or 31.10 or gravity furnace to 100,000 BTU, 3 (� boiler over 3 HP or 100,000 BTU to and including ducts and vents attached thereto including 15 HP or 500,000 BTU Installation or relocation of each forced air 21.30 Installation or relocation of compressor or 42.50 or gravity type furnace,including ducts and boiler over 15 HP or 500,000 BTU to and vents attached thereto,over 100,000 BTU including 30 HP or 1,000,000 BTU Installation/relocation of each floor furnace 17.00 Each ventilation fan connected to a single 8.50 Installation or relocation of each suspended, 17.00 duct and not located within a dwelling unit wall,or floor mounted unit heater Each air handling unit to 10,000 CFM 12.80 i 0 XX% Repair or alteration of an appliance vent 8.50ea. Each pre-fabricated fireplace 12.80 Repair,alteration,or addition to existing 17.00 Each evaporative cooler 12.80 heating,cooling,or absorption unit Each kitchen grease hood 12.80 Full Description of Work: Miscellaneous Solid Waste Management(SWMF)and 41.25 Processing fee Total fee,including Processing and SWMF I1g 01 C,..,ificate No. 2002408 – 248 ARCADIA UNIFIED SCHOOL DISTRICT 234 Campus Drive, Arcadia, CA 91007 •• (626) 821-8300 Ext. 6732 (Certificate of Compliance with Fee Provisions of Government Code Section 65995) This new Fee Schedule is effective April 8,2002. Any Developer Fee worksheet brought in on or after this date will be charged at the new rate. Address of Development: 1109 Eng l emann C t. , Arcadia, CA 91006 Number of Buildings in Project: One Plan Check Number: 03-83 .......... [ ] Exempts 500 sq. ft.or less. Future kX] Residential2 [ ] Commercial/Ind.2 [ ] Com/Ind Parking2 additions chargeable at regular rate. $2.14/sq. ft. $0.34/sq. ft. $0.17/sq. ft. Area in Sq. Ft.: 5,591 A developer may request refund of fees to the District within twelve months of payment of fees, in the event the Building Permit expires or the Developer Fee: $ 11 ,964.74 project is canceled. The refund will be reduced by a $100 administrative fee. The refund check will Receipt No. kX] [ ] N/A be issued in the name of the original payee and mailed to the address of payee, as shown on the 2 2 0 7 7 7 original Certificate of Compliance. Part of Phase Ill , Anoakia Estates Owner:A rcad i a Oaks, LLC Developer: Mark Smith, Hover Dev. Co. Address: Address: 3501 Jamboree Rd. #2000 ..._.__....._....... Newport__Beach, CA ___.92660 Home Phone: ; Business Phone: 949-725-9600 Pager/Cell Phone: Pager/Cell Phone: 1This is to certify that the above-described development has been determined to be exempt from the developer fees of Government Code Section 65995 and a Building Permit may be issued therefor. 2This is to certify that all fees due to the Arcadia Unified School District, under provision of Government Code Section 65995, as a prerequisite to the issuance of a Building Permit by the Building and Safety Division of the Planning Department, have been received. Based on the information presented above, this Certificate of Compliance is hereby executed. > The District charges a $100 fee to process reinstatement of the Certificate of Compliance resulting from an "insufficient funds" check in addition to a$20 fee for the bounced check. Only cash or a Cashiers' Check will be accepted as payment thereafter. The District charges a $100 fee for any amendments to or cancellation of a Developer Fee Certificate of Compliance issued on any type of development. Said request for refund of fees paid to the District must be made within twelve months of payment of fees. No refunds will be issued on fees paid prior to the twelve- month limit for any reason. Applicant confirms that he/she is authorized to sign o• .ehalf of the owner/developer and that the information he/she provid-• her-in is true . , a ura to th— st of his/her knowledge. Signature of Applicant: 11 �,, r Approved: C\ . April 7. 2003 Assistant Superinten –Business Services Date WHITE—Applicant YELLOW—Accounting Dept. PINK—Business Office GOLDENROD—Chrono DevFeeForm:4-08-2002 tati° .,: 4111•1*. Obits, ' •• \ac ., y�a.4/` C 1 l OF All CADIA 240 West Huntington Drive Arcadia, CA 91007 ATTENTION: Community Development Administrator ST BJECI.: Grading Verification for Project No. �c 72 4 i .5 2 Address: * 7D I 0. 100-Fil 1 // B1✓c/, A rcaclia , C'a. . _4/coca Gentlemen: //d9' 5 d1 -e fli Au) Finish grading operations have been completed for Project No. 7 4 2 74 for Lo i 0 through (if applicable) and has been inspected b the undersigned Registered Civil Engineer e.. r cen : h •t Based upon the observations, the grading subsequent to the Rough Grading has been completed in accordance with the approved plans and specifications and is in substantial conformance with the final grading plan approved by the City and no unauthorized deviations were made. All required surface drainage devices have been installed. Provisions have been made for drainage of surface waters around proposed buildings and their appurtenances. tL# ngineer{Signs u re) 4�QR10F�S�{pN�` clutect(Signature) R.C.E. No. /3 70 3 A..' � ,�� N�9�- ' No.. Date: yZ�U L/( No.13703 ! `' :xp. 3/31/05 4D rn Received and approved: 'k * , i F CAL1 �ate: C.D.D./Planning --- cc: C.D.D./Maint.Ser. C.D.D./Building ".IT., PLANNING SERVICES A1lENTION: CO f! DATE: 2-/7-0i FROM: BUILDING SERVIC S INSPECTOR: V 0/7/f-7 PROPERTY ADDRESS: //o g 614 PERMIT#: PLAN#: CONTRACTOR: (tea' PHONE#: V' 3 75 ©O/ 2 OWNER: PHONE#: PLEASE INSPECT THE FOLLOWING ITEMS FOR CONFORMANCE WITH APPLICABLE PLANNING REQUIREMENTS. ' TYPE OF INSPECTION DATE & INITIAL DATE & INITIAL FINAL APPROVAL 1 LANDSCAPING/IRRIGATION // ,Z, l�4/ TRASH ENCLOSURES /r ` PARKING/DRIVEWAYS / STORAGE AREAS 7 I MECHANICAL EQUIPMENT WALL HEIGHT LIGHT HEIGHTS BACKFLOW SCREENING 1 i GRADING e COMMENTS: w/ •. i ....ALA_ Ork- 3/5/97 • OF4. . ii.,..'- . 7iA 6 i" ARCAD A l�\ o9 0.0RAT,„-a MEMORANDUM Fire Department DATE: January 6, 2004 TO: BUILDING DEPARTMENT ATTN: INSPECTOR Zurick FROM: FIRE DEPARTMENT SUBJECT: FIELD INSPECTION ADDRESS: 1109 Englemann Ct THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE DEPARTMENT REQUIREMENTS: DATE / INITIAL TYPE OF INSPECTION PERMIT NO. FINAL INSPECTION FIRE SPRINKLERS B00-015-699 12/30/03 J Perumean FIRE ALARMS TANKS HOOD & DUCT KNOX BOX OCCUPANCY 12/30/03 J Perumean COMMENTS: Emailed Bldg Dept 1/2/04 - E Massey `y CITY OF ARCADIA .. . . , , DEVELOPMENT SERVICES DEPARTMENT Inter-Departmental Inspection Request Date: Z —l7.-p Y To: Public Works Inspector From: (i5-0477 Address: //7? , Z747 7 Permit No.: Contractor: GG 7 Phone No.: 1? 3-75<- o'/? Owner: Phone No.: Please inspect the following items to ensure that the contractor/developer is in compliance with all conditions of approval established for the project, and that the work performed meets the City's standards for Public Works construction: Type of Inspection Date & Initial Date & Initial Final Approval Drainage 1 _ _ Grading _ Erosion Control Offsite Improvements Construction Bin(s) Street Improvement(s) 1 �� � / (conduit, curb/curb & gutter, curb nos., 1 Z1 I3 lf) If driveway approach, parkway planting, sidewalk, street light, traffic flow, etc.) Sewer(s) (lateral, grease/sand interceptor, saddle, wye, etc.) , Comments: FRI\Nre cc: Public Works Services Department — Sewer Inspector Rev. 1 1/9/99 02/13/2004 11:07 1 PUBLIC WORKS P GE 02/02 0 Via,; WATER DIVISION gr • Ras , ATTENTION: Te31 DATE: FROM: BUILDING DIVISION , INSPECTOR: 041 PROPERTY ADDRESS: //o `� ry7 0 ig70r7 GW/' PERMIT NUMBER: PLAN NUMBER: CONTRACTOR: 66•ly PHONE # 37 - o4 OWNER: ___-- .� PHONE# PLEASE INSPECT TEE FOLLOWING ITEMS FOR CONFORMANCE WITH APPLICABLE DEPARTMENT OF PUBLIC WORKS REQUIREMENTS. c, TYPE OF DATE & I DATE & FINAL - INSPECTION INITIAL INITIAL APPROVAL METER LOCATION C ., BACKFLOW DEVICES /I)/° Ye(1 . . IRRIGATION SYSTEM I )V/j,k FIRE SP.SYSTEM. tvii3 r METER CLEAR A.P.P. ^_ SWIMMING POOL COMMENTS: 7(4,0_Z1- WorddaraiWarerdivision9-28.01 9/28/01 '1 WATER RECLAMATION SOLID WASTE MANAGEMENT COUNTY SANITATION DISTRICTS OF LOS ANGELES COUNTY ..r 1955 Workman Mill Road,Whittier, CA 90601-1400 Mailing Address: P.O. Box 4998, Whittier, CA 90607-4998 JAMES F. STAHL Telephone: (562) 699-7411, FAX: (562) 699-5422 Chief Engineer and General Manager oun ► ot��� 7:00 a.m.- 4:00 p.m.Mon.-Thurs. 7:00 a.m. - 3:00 p.m.Fri. Account No.: 0406380 District No.: 15 SEWERAGE SYSTEM CONNECTION FEE Date: June 28, 2002 Property Owner: ARCADIA OAKS LLC Address of Property: 701 W FOOTHILL BOULEVARD ARCADIA, CA 91006 Thomas Guide Page: Contact: GARY PETERS, SUPERINTENDENT Phone: 626-836-6589 Mailing Address: 3501 JAMBOREE RD., #2000 NEWPORT BEACH, CA 92660 County Assessor Map Book, Page, and Parcel Number: 5769-009-003 Structure is Proposed. User Category and Units of Usage: Category: O 1 A Number of Units: 31 Square Footage: CONNECTION FEE CALCULATION 31.00 X $1,250.00 = $38,750.00 Number of Units of Usage Connection Fee Per Unit of Usage Connection Fee SPECIAL CREDITS: DEMOLITION CREDIT $38,750.000R Demolition Credit COMMENTS: $0.00 Connection Fee Due i IS T RIC I S Fee.Payment Received From: Processed by: :MLII ' LOS ANGELES COUNTY• , N/A Amount: Approv d by: APPROVED 0,4 Amount: $0.00 Ck. No.: D.C.: Date: June 28,2002 JAMES F.STAHL CHIEF ENGINEER&GEN.MGR BUILDING DEPT COPY VALID ONLY WHEN STAMPED 0 Recycled Paper +1 POST SURVEYING I N C MAY 2, 2003 CITY OF ARCADIA 240 W. HUNTINGTON DR. ARCADIA, CA 91066 ATTENTION: BUILDING DEPARTMENT REFERENCE: ARCADIA OAKS PROJECT—TRACT 52745 LOT 10— 1109 ENGLEMANN COURT THIS LETTER SERVES AS MY VERIFICATION OF BUILDING FORM BOARD SETBACK LOCATION &F.F. ELEVATION PER THE PRECISE GRADING & BUILDING ENVELOPE PLAN PREPARED BY KEITH &ASSOCIATES. THE FORM BOARDS ARE IN SUBSTANTIAL CONFORMANCE WITH THE REVISED FINISHED FLOOR OF 669.08 AS SHOWN ON PLANS WITH THE LATEST REVISION DATED 3-26-03. THIS VERIFICATION IS BASED ON A FIELD CHECK ON 5-1-03. SINCERELY, (41) RON POST PRESIDENT v_ANOSu, t 0 o.0 , P.L.S.4832 Imi +i 1110►111'ioe Alk Op Com cr LAND SURVEYING AND CONSTRUCTION STAKING 2524 FENDER AVE. UNIT G • FULLERTON, CA 92831 • (714) 446-0966 • FAX (714) 446-8689 nt By: 9497259322; Sep-4-01 11 :34AM; Page 2/2 05-14-C'' 02:05pm From-CDD 6264479173 T-335 P.D2/02 F-664 :11 11116111,1 4 °'� 3 • : , • . CITY OF ARCADIA ---"Co. - 240 West Huntington Drive Arcadia, CA 92007 P,,OUGH GRADING VERIFICATION ATTENTION: Community Development Administrator: SUBJECT: Grading Verification for Project No c c-+ ,t Z7� , ) Address 70 . it , .4 ✓i • 1, i •r4 ex- r. La elk) 4rc.aeltc' , Oa. . gIoOC-, Gentlemen: f/e7 c7-L 4:-'c 1 r y'r AIL,- Rough grading opera tons have been completed for Project No , / M. Z 74� for Lots. /Q. through • (if applicable) and has been inspected .:by.the undersigned Registered Civil Engineer or Licensed Architect.. Based upon the observations, the rough grading of the lot(s) listed above have been ,completed in conformance with plans marked "APPROVED" by the City. The work includes but is not limited to the following: grading to approximate.final elevations; .staking of property lines; location and gradient of cut and fill slopes; location, cross- sectional configuration and flow-line gradient of drainage swales and terraces; berms .:installed where indicated; and required drainage slopes provided on building pads,' Enclosed herewith is a Soil and Compaction Report for the Building Division which is r-•aired on all new constructi,=- - o o'footing inspection: QRO /ON\ . ' -"1"�V, MA//� -7( r . . ..c _I.('• ,% • F 1, Engineer(Si. afore) c7 << rs. 'tect(Signature)' w No.13703 r^ R.C.E. No. 13i7c 3 1. Exp. 3/31/05 ; • . No • * 1 , Date: -- I O -5 ti 4-\\N..._ OA " Received and a pt roved: . Date: C.D:D./Plamm�.g cc: C.D.D./Maint. Ser. C.D.D./Building DAILY FIELD ENGINEERING REPORT (II: '�� PACIFIC SOILS ENGINEERING, INC. Client: 444' L , Work Order: /02 363-4 Clients Representative: iti r',ittsz� Tract No.: 52745 Date: S— 7- O 3 Project Name: �y Day: Gt/.0.4 Project Location: Cl,,,,,,t, / Ca. Weather Conditions: Contractor: Approximate Fill Yardage : Type and Number of Rigs in Operation: Description of Project Activities: J/©q'— ti4s,1 t ryn,.4w l �.—. i�`K' ..Q�jr' !LAt- - .-......��.A . oar .. i..�nc�at .. / . / .� s er /o/ / asoe /Z t?-0,44.~-62,40, 4 a... rior.4-1-s-e-11-ticc-liv li S-- /xers-ael4...e : ro. a. 4 i "4 Site Visitors I Firm: I HOURS BILLED TECHNICIAN TO PROJECT For Pacific Soils Engineering, Inc. Field Office Received by Page of __._ • PACIFIC SOILS ENGINEERING, INC. 10653 PROGRESS WAY, P.O. BOX 2249, CYPRESS, CALIFORNIA 90630 TELEPHONE: (714) 220-0770 4 X NOTICE OF FOOTING EXCAVATION INSPECTION S 274$ b /ci - .� agort JOB LOCATION: /ma, Ca WORK ORDER NO.: / 236�- REF. WORK ORDER NO.: OWNER OR CONTRACTOR: / / " `ir" OWNERS ADDRESS: DATE FOOTINGS INSPECTED:. - 03 DESCRIPTION OF FOOTINGS OR CAISSONS COVERED BY THIS NOTICE: S 2745 /0 "LW A-e-it-texter- a-ppd' __ Are aiee ,/ /1-14.if-7"-)0t- al'. The undersigned has inspected the footing and/or caisson excavations listed above on the referenced property and same were excavated in accordance with our recommendations in the preliminary foundation report and the Building Code of the PACIFIC SOILS /E�NGINEEERRINNG, ZINC. BY: . CZeA /C∎st %4 -- SIGNATURE DISTR: (1) Office (2) Inspector (3) Project Form 80 =-- PACIFIC SOILS ENGINEERING, INC. 10653 PROGRESS WAY, P.O. BOX 2249, CYPRESS, CALIFORNIA 90630 TELEPHONE: (714) 220-0770 NOTICE OF FOOTING EXCAVATION INSPECTION JOB LOCATION: C ke.a., I /70 1114/7 C.,-(AK /".- WORK ORDER NO.: lot-3 3- REF. WORK ORDER NO.: OWNER OR CONTRACTOR: 1 OWNERS ADDRESS: DATE FOOTINGS INSPECTED: DESCRIPTION OF FOOTINGS OR CAISSONS COVERED BY THIS NOTICE: ,. 52 74 „, - 9//0 and 1 6 41414 r; r Oc rcQIZ bki 1 A+ c '4 c. Arc & '' a 101 dektd /0'2 44 / i r? - 4;3 „e ' r : . - ..42.- -' - lei;2,t, ,..-m-aitey-re, R.,(-47,-- 7.1,, , ,ola...64..., ,,,r--e-re-ete._ a, ft,4,4.,,, --1.7-X-ea ' s r , ' - ovize AVe-ug‘ed Zr' ' The undersigned has inspected the footing and/or caisson excavations listed above on the referenced property and same were excavated in accordance with our recommendations in the preliminary foundation report and the Building Code of the G.!, ' a,CC .e- ,. C . y PACIFIC SOILS ENGINEERING, INC. SIGNATURE DISTR: (1) Office (2) Inspector (3) Project Form 80 DAILY FIELD ENGINEERING REPORT PACIFIC SOILS ENGINEERING, INC. Client: //o ‘06M /7 CerjAr Work Order: - - - Clients Representative: ,~ Tract No.: 5 Date: ; Project Name: Day: Project Location: Weather Conditions: Contractor: Approximate Fill Yardage : Type and Number of Rigs in Operation: Description of Project Activities: 4-7, ;If- /..2/// /2 - ' - ,r7 / 4,9 a A /, ."://ie &• r —C--k.--se •71 4,'"e4e " I 't - Site Visitors I Firm: 7/ HOURS BILLED TECHNICIAN TO PROJECT For Pacific Soils Engineering, Inc. Field Office Received by: Page of dafldrpt.sam • Southvw' ;t Inspection and Te. ng,Inc. 10826 South Norwalk Blvd., Santa Fe Springs, CA 90670 (562) 941-2990 • (714) 526-8441 • Fax (562) 946-0026 SWIT Job No. Date REGISTERED INSPECTORS'S DAILY REPORT TYPE OF Q Reinforced Concrete ❑ Structural Steel Assembly ❑ Quality Control INSPECTION ❑ Post Tensioned Concrete ❑ Fire Proofing ❑ Other REQUIRED ❑ Reinforced Masonry ❑ Asphalt Job Address City Job Name Pgrmit No. Issued By • Type of Structure Architect Material Description(type,grade,source) j Engineer Contractor Inspector(s)Name Subcontractor TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES INSPECTION SUMMARY— LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE&IDENT.NO'S OF TEST SAMPLES TAKEN: STRUCT.CONNECTIONS(WELD MADE H.T. BOLTS TORQUED)CHECKED,ETC. CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF I HEREBY CERTIFY THAT I HAVE OBSERVED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED TIME IN TIME OUT REG.HOURS O.T.HOURS CYLINDERS WORK UNLESS OTHERWISE NOTED.I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS,AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. All inspections based on a minimum of 4 hours and over 4 hours-8 hour minimum. In addition,any inspection extending past noon hour will be an 8 f SIGNATURE\OF REGISTERED INSPECTOR hour minimum. Approved by SPECIALTY NO. AGENCY Project Superintendent WHITE-OFFICE COPY CANARY-ACCOUNTING COPY PINK-INSPECTOR'S COPY GOLDENROD-JOB SITE COPY i 6803